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aches active duty Andrews Angie ankylosing spondylitis back pain bacterial began biopsy blood bone Byrd cancer cardiology CAT scan certainly civilian clinical Commander Navaro complete connective tissue diseases consultation continued correct diagnosis daughter Daughtry Delvecchio Despite doctor drug early ERCP evaluation exam fellowship training fingers giant cell arteritis going heart hospital illness individuals infection internal medicine internist involving Jenkins joint Jones kidney knees laboratory studies later lung military milligrams daily Mitchell months muscle Navy neck never normal nurse occasions orthopedic Parker patients personal physician physical examination polymyalgia rheumatica Prednisone problem quickly rash Rawlings referral replied responded retired rheumatic diseases rheumatoid arthritis rheumatoid disease rheumatoid factor rheumatology scan scleroderma sedimentation rate serious Silent Pains simply spinal cord spine surgery swelling symptoms systemic lupus erythematosus therapy thought told treatment tumor usually vasculitis Wallstein week Wegener's granulomatosis wife Williams x-rays